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Individual

DR. LARRY DALE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4660
Mailing address
200 WILDWOOD PKWY STE 100B, BIRMINGHAM, AL 35209-7300
(205) 943-4600
(205) 943-4688

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD.27550
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51140447
BC
AL
Enumeration date
10/04/2006
Last updated
03/18/2024
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